A patient who has been on long-term corticosteroid therapy has had surgery to correct an abdominal hernia. The nurse keeps in mind that which potential effect of this medication may have the most impact on the patient's recovery?
Hypotension
Muscle weakness
Osteoporosis
Delayed wound healing
The Correct Answer is D
Choice A reason: This is incorrect because hypotension is not a common effect of long-term corticosteroid therapy. Corticosteroids can cause fluid retention and sodium retention, which can lead to hypertension, not hypotension.
Choice B reason: This is incorrect because muscle weakness is not the most impactful effect of long-term corticosteroid therapy on the patient's recovery. Corticosteroids can cause muscle wasting and loss of muscle mass, which can affect the patient's mobility and strength, but not as much as delayed wound healing.
Choice C reason: This is incorrect because osteoporosis is not the most impactful effect of long-term corticosteroid therapy on the patient's recovery. Corticosteroids can cause bone loss and increased risk of fractures, which can affect the patient's bone health and stability, but not as much as delayed wound healing.
Choice D reason: This is correct because delayed wound healing is the most impactful effect of long-term corticosteroid therapy on the patient's recovery. Corticosteroids can impair the inflammatory response and the immune system, which can slow down the healing process and increase the risk of infection. This can affect the patient's recovery time and quality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Dextromethorphan is a cough suppressant that does not affect blood glucose levels. It is safe to use for clients with diabetes.
Choice B reason: Prednisone is a corticosteroid that can cause glucose intolerance by increasing glucose production and decreasing insulin sensitivity. It can worsen hyperglycemia and increase the risk of diabetic complications.
Choice C reason: Atorvastatin is a statin that lowers cholesterol levels and reduces the risk of cardiovascular disease. It does not cause glucose intolerance and may have a beneficial effect on glycemic control.
Choice D reason: Cimetidine is a histamine-2 receptor antagonist that reduces stomach acid production and treats ulcers and gastroesophageal reflux disease. It does not cause glucose intolerance and has no significant interaction with diabetes medications.
Correct Answer is B
Explanation
Choice A reason: Benzonatate is not the correct answer. Benzonatate is a cough suppressant that works by numbing the throat and lungs. It does not help in the removal of mucus.
Choice B reason: Guaifenesin is the correct answer. Guaifenesin is an expectorant that works by thinning and loosening the mucus in the airways. It helps in the removal of mucus by making it easier to cough up.
Choice C reason: Diphenhydramine is not the correct answer. Diphenhydramine is an antihistamine that works by blocking the effects of histamine, a chemical that causes allergy symptoms. It does not help in the removal of mucus.
Choice D reason: Dextromethorphan is not the correct answer. Dextromethorphan is a cough suppressant that works by affecting the signals in the brain that trigger the cough reflex. It does not help in the removal of mucus.
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